2
1 WHAT IS FLORIDA SENIOR CARE? A comprehensive health and long-term care system that will provide care management to better serve Florida Medicaid seniors in their community.

3
2 LEGISLATION  Senate Bill 838 – …the Agency for Health Care Administration, in partnership with the Department of Elder Affairs, shall create an integrated, fixed-payment delivery system for Medicaid recipients who are 60 years of age or older.

4
3 Status Update  Waiver applications will be submitted to Centers for Medicare and Medicaid Services in the next week or two  Waiver applications and supporting documents will posted on internet upon submission

10
9 ENROLLMENT  Panhandle Pilot Area (mandatory) Choice between Florida Senior Care plans If no choice is made within choice period, will be assigned to a Florida Senior Care plan  Central Florida Pilot Area (voluntary) Choice among all available Medicaid options in their area Those who do not choose another option during the choice period will be assigned to a Florida Senior Care plan  Enrollment counseling in both pilot areas will help eligible participants make an informed plan choice

13
12 CONSUMER PROTECTIONS  Enrollment counseling to help make an informed plan choice  Choice between plans in each pilot area  Nursing facility and assisted living facility residents can stay in their current facility  Consumers may select any available provider within the plan network  Care coordinator helps enrollees navigate the system  Grievance and appeal process and access to Medicaid fair hearing system

14
13 WHY FLORIDA SENIOR CARE IS NEEDED  Growth of Florida’s Elder Population  Current Fragmented Service Delivery – Different eligibility and programmatic requirements according to funding sources – Independent service delivery systems – Funding-centered rather than centered on individual’s needs – Difficult to access information on the system

15
14 How Will FSC Improve the Current System?  Combine programs and funding for Medicaid services – A system that is easier to navigate – Improved care coordination  Coordinate all Medicaid health and long-term care services – One organization accountable for service delivery – Provides a single point of access to services  Emphasize alternatives to nursing home care – Allow seniors to stay independent longer

17
16 OPPORTUNITIES FOR PUBLIC INPUT  Thirty day public comment period on waiver applications once submitted –  Comments and suggestions may be submitted to:  Future meetings with stakeholders in pilot areas